1. Natalia Elson, DDS Islip, NY NAPW Meeting 08.28.2012

2. You may not be able to take control of your hormones, but you can aware of changes in your mouth and work with your dentist to protect the health of your gums and teeth.

3. Practice of truly caring for patients and helping them to intelligently choose treatment that will benefit their overall health. Chief complaint fixer overall health care provider Dental Health is an investment in our overall health and longevity.

4. Women: are twice as likely to have received a regular dental check-up in the past year more likely to schedule the recommended treatment following the dental check-up have lower incidence of dental plaque, calculus and bleeding on probing. Are 26 percent more likely than men to floss on a daily basis 74 percent of women would be embarrased by a missing tooth 44 percent of women are aware dentists help contribute to overall good health

6. Puberty Menopause Menstruation Pregnancy Can affect general health and dental health. Facts: 1. Women tend to take better care of their oral health than man do 2. Womens oral health is not markedly better than mens

7. 23 percent of women ages 30 to 54 have periodontitis 44 percent of women ages 55 to 90 who still have their teeth have periodontitis Periodontal Disease is often a silent disease

8. Gingivitis Periodontitis Gingivostomatits Epulys Knowing your pocket size depth is a good way to keep track of periodontal health One to two millimeters with no bleeding – no concerns Three to four millimeters - may need deep cleaning called scaling and root planning

10. Bleeding gums during brushing Red, swollen or tender gums Gums that have pulled away from the teeth Persistent bad breath Pus between the teeth and gums Loose or separating teeth A change in the way your teeth fit together when you bite A change in the fit of your dentures

11. Physiological - temporary and totally treatable - glass of water - crunchy, grainy breakfast - Brushing, flossing BRUSH YOUR TONQUE! - Mouth rinse - Sugarfree gum ( Xylitol ) Pathological – a little harder to deal with - See the dentist:( gum disease,impacted wisdom tooth,decayed tooth,old leaky filling, abscessed tooth) - See the physician:(sinus or throat infections,tonsil stones,chest infections, gastroesophageal reflux disease,poorly controlled diabetes)

13. Increased level of sex hormones Increased blood circulation to the gums Gingivitis( no bone loss) and gums: - Sensitive - Irritated - Swollen - Red - Feel tender - Bleed easily

14. Fact: Some species of bacteria that contribute to gum disease use sex hormones in place of vitamin K, which is essential for their growth Good at-home oral hygiene Regular brushing Regular flossing Regular dental care In some cases – periodontal therapy.

16. Gingivitis : bleeding, swelling, soreness in the days before the period Sores inside the checks Cold sore Canker sore Swollen salivary glands

18. Gingivitis – 2 nd /3 rd throughout 8 th months Gingivitis occurs in 60 to 75 percent of all pregnant women Pregnancy tumor – painless, - in 10 percent More common in front teeth Pre-term, low-birth-weight babies Fact: 1. women who use oral contraceptives susceptible to the same oral conditions that affect pregnant women – gingival bleeding and deeper periodontal pockets 2.Higher chance of getting dry socket following wisdom teeth extraction

19. Mothers who breastfeed should have enough calcium in their diet to prevent bone loss around their teeth Periodontal evaluation should be done as soon as women finds out that she is pregnant Monitoring periodontal tissue including more frequent cleanings during pregnancy and Continuing until 3 months after delivery

21. Discomfort in the mouth: - Dry mouth - Pain and burning sensation - Altered taste – especially salty, peppery or sour - Menopausal gingivostomatitis - Bone loss – periodontitis and osteoporosis HRT Might help

22. Good Oral Hygiene Regular Dental Check up Healthy Diet Treatment as needed

23. Women Are Angels & When Someone Breaks our Wings…… We Simply Continue To Fly On A Broomstick We Are Flexible Like That!

24. THANK YOU FOR YOUR ATTENTION AND WELCOME TO OUR DENTAL PRACTICE 631 581 0216 www.doctorelson.com